Institutional development
Institutional frameworks govern people's access to health systems. Significant development resources have been focused on trying to change the way organisations operate. However, there is limited success without change to the institutional framework, which governs the way organisations behave, their relationships and accountability mechanisms. Similarly, without empowering poor people to have agency there will be limited change in their ability to access services.
Institutional development includes institutional reform and organisational development. It is about changing the formal and informal rules of the game, which govern the relationships between policy-makers (the enablers), service providers (the responders) and poor people, both as consumers of services and as citizens with voices.
- Tough choices: investing in health for development
- This report is a synthesis of country experiences from three years of work, following the 2001 report of the Commission on Macroeconomics and Health (CMH). The report identifies the main challenges to improving health investment planning and considers the experiences of 11 countries and one sub-regional initiative.
Recommended readings
- World Development Report 2004: making services work for poor people
- ( World Development Report, World Bank , 2003)
- Recommended reading
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This issue of the WDR focuses on policies for improving the access of poor people to affordable, better quality services in health, education, water, sanitation, and electricity.
The report focuses ...
- Promoting institutional and organisational development
- ( Department for International Development, UK , 2003)
- This paper from the United Kingdom’s Department for International Development (DFID) argues that development interventions are more likely to succeed if they promote improvements at the wider level of...
- The Voice-responsiveness Framework: creating political space for the extreme poor
- ( Livelihoods Connect, DFID , 2004)
- This paper from the Chars Livelihoods Programme (CLP) in Bangladesh argues that the very poor must be empowered to actively participate in political processes if they are to get the reforms and servic...
Latest Additions
- Increased coordination, political support, and country-led strategies are needed to take advantage of increased health systems funding
- ( S. Spinaci; L. Currat; P. Shetty / Commission on Macroeconomics and Health, WHO , 2006)
- This report is a synthesis of country experiences from three years of work, following the 2001 report of the Commission on Macroeconomics and Health (CMH). The report identifies the main challenges to...
- Client focus and market orientation needed in institutional reform
- ( S.J. Burki; G.E. Perry / World Bank , 1998)
- How comprehensive should institutional reforms be in Latin America and the Caribbean (LAC)? Is too much being asked of reforms? In this era of globalisation, the call for institutional reform is being...
